Tonight after a long day of work and attending a marriage builders class with some friends at church, finally arrived at home to open the mail. A letter from Aetna was in the pile and so opened it with an anxious wondering..... About the fourth paragraph down it gets to the point that they were upholding there previous finding of a denial of the appeal. They acknowledged all of the findings that were included, and case studies, but the gist of it being that my insurance policy does not cover anything experiemental. There was about 1.5 pages of niceties about further appeals possible within a 60 day period.. But denied none-the-less.
At this time, I will be waiting to make that decision as to whether to end the process or to advance on with it. Twice denied using the same information, and the patient not being of any concern due to the fact that FDA does not give approval for the procedure specific only to the ankle which is my case in point and until than insurance will have no reason to acquiesce. It has certainly been a frustrating 2.5 years dealing with it, and I not sure what I'm feeling on the thought of continuing with it. Is this in the denials, the Lords answer to the prayers of doing what is right???
And than a surprising bit about "a survey to let them know" how the process went, so that they can be improving it.. hmmm, not so sure now would be a good time to answer that question.
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